Individual
NISHIT KAUSHIK MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1260 MILTON AVE STE 140, JANESVILLE, WI 53545-1890
(608) 757-0057
Mailing address
2727 PARK PLACE LN APT 313, JANESVILLE, WI 53545-5220
(213) 298-9652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001555-15
WI
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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